<?php echo $header; ?>
    <div class="container">
    		<h1><?php echo $title;?></h1>
            <p><?php echo $text_message ?></p>
            <?php if(isset($sucess_message)){?>
            <div class="comment correct"><i class="fa fa-check"></i>&nbsp;<?php echo $sucess_message;?></div>
            <?php }?>
        <div class="contact_form">
            <form role="form" class="clearfix" action="<?php echo $action; ?>" method="post" enctype="multipart/form-data" onsubmit="return controlaEnvioEmail();">
                <fieldset class="">
                    <div class="form-group">
                        <label for="nombre"><?php echo $text_your_name;?></label>
                        <input id="nombre" type="text" name="usuario" value="<?php echo $user; ?>" class="form-control" placeholder="<?php echo $text_note_your_name;?>">
                    </div>
                    <div class="form-group">
                        <label for="mail"><?php echo $text_your_email;?></label>
                        <input id="mail" type="text" name="email" value="<?php echo $email; ?>" class="form-control" placeholder="<?php echo $text_note_your_email;?>">
                    </div>
                    <div class="form-group">
                        <label for="subject"><?php echo $text_subject;?></label>
                        <input id="subject" name="subject" value="<?php echo $subject; ?>" type="text" class="form-control" placeholder="<?php echo $text_note_subject;?>">
                    </div>
                </fieldset>
                <fieldset class="right">
                    <div class="form-group">
                        <label for="mensaje"><?php echo $text_comment;?></label>
                        <textarea id="mensaje" name="mensaje" class="form-control" rows="5" placeholder="<?php echo $text_note_comment;?>"><?php echo $message; ?></textarea>
                    </div>
                </fieldset>
                <fieldset class="captcha-button">
                    <div class="captcha">
                        <img style="margin-bottom: 10px" id="captcha"  src="index.php?route=information/contact/captcha" alt="" />
                        <input type="text" id="captcha_input" name="captcha" class="captcha_code bold center" placeholder="Captcha" maxlength="6" value="<?php echo $captcha; ?>" />
                        <?php if ($error_captcha) { ?>
                        <span class="error" style="color: red;"><?php echo $error_captcha; ?></span>
                        <?php } ?>
                    </div>
                    <button type="submit" class="btn btn-default">Send report</button>
                </fieldset>
                <p class="info">Legal note: By using this contact form an email will be send to the Administration without storing storing any personal data.</p>
            </form>
        </div>
    </div>
<?php echo $footer; ?>